JILLIAN K JOSEPH
Controlled Substance Registration for Practitioner


Address: 112 Uncatena Ave, Worcester, MA 01606-1814

JILLIAN K JOSEPH (Credential# 1155107) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 25, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JILLIAN K JOSEPH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054405. The credential type is controlled substance registration for practitioner. The effective date is March 25, 2013. The expiration date is February 28, 2015. The business address is 112 Uncatena Ave, Worcester, MA 01606-1814. The current status is inactive.

Basic Information

Licensee Name JILLIAN K JOSEPH
Credential ID 1155107
Credential Number CSP.0054405
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 112 Uncatena Ave
Worcester
MA 01606-1814
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-03-25
Effective Date 2013-03-25
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1146479 23.002883 Physician Assistant 2013-03-13 2013-07-01 - 2014-06-30 INACTIVE

Office Location

Street Address 112 UNCATENA AVE
City WORCESTER
State MA
Zip Code 01606-1814

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Competitor

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City WORCESTER
Zip Code 01606
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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